Individual
LATASHA MARIE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9521 LAMONTIER AVE, CLEVELAND, OH 44104-4735
(216) 484-3002
Mailing address
9521 LAMONTIER AVE, CLEVELAND, OH 44104-4735
(216) 484-3002
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401332401211
OH
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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